Active NPI
Angela Erion Lee, LCSW
- Clinical Social Worker
- Lake Charles, LA
National Provider Identifier
1043792617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9116
- Practice address
- 2903 1St Ave
Lake Charles, LA 70601-8897 - Phone
- (337) 478-6480
- Fax
- (337) 474-9637
- NPI assigned
- Aug 30, 2018
- Last updated
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9116 | LA | Primary |
Addresses
Primary practice location
2903 1St Ave
Lake Charles, LA 70601-8897
Mailing address
2903 1St Ave
Lake Charles, LA 70601-8897
Phone (337) 478-6480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9116 | Other | LA | LOUISIANA STATE BOARD OF SOCIAL WORK EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9116 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1043792617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2903 1ST AVE",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018897",
"telephone_number": "337-478-6480",
"fax_number": "337-474-9637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2903 1ST AVE",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018897",
"telephone_number": "337-478-6480",
"fax_number": "337-474-9637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ANGELA",
"middle_name": "ERION",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-30",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "9116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOUISIANA STATE BOARD OF SOCIAL WORK EXAMINERS",
"identifier": "9116",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.